A member asked:

Might there be any options in cosmetic dentistry for patients with periodontal disease?

21 doctors weighed in across 13 answers
Dr. John Thaler answered

Specializes in Prosthodontics

Yes: See your periodontist and your prosthodontist. These specialists can work together to offer you the best options. Their combined training is just what you need.

Answered 4/11/2017

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Dr. John Rohm answered

Cosmetic dentistry: Yes, but it depends. What stage periodontal disease do you have? Is the dentistry in a place that requires perfection? How much time and expence are you willing to invest. Where do you see yourself dentally in 5 years? 10 years? These are all things that should be discussed with your dentist.

Answered 6/26/2014

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Yes: In certain situations, people with periodontally compromised teeth may not want to do cosmetic dental procedures because the results may not last. It may be a good time to get implants so the final cosmetic result will last long and if treatment planned correctly prevent you from having to wear a removeable set of teeth! good luck and be well.

Answered 8/23/2013

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Periodontal disease: The periodontal (gum) situation must be stable or your cosmetic treatments won't last. Has your periodontal disease been stabilized? If so, depending on the strength of your supporting bone you may be able to have cosmetic procedures done very successfully. What cosmetic changes do you want to make? One tooth? A complete "smile makeover"? Whitening of the teeth? Please add more details.

Answered 1/14/2015

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Dr. Donald Rollofson answered

Specializes in Dentistry

Ask periodontist: Before any cosmetic procedures are completed you need to be certain that the foundation is as healthy as possible. Ignoring your periodontal problems will doom cosmetic procedures to eventual failure.

Answered 8/28/2013

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Dr. Gary Sandler answered

Specializes in Dentistry

Always options: Yes, both before, during & after resolution of your periodontal problems. What is most important is that your periodontist & restorative dentist work together with each other & with you, all in a team effort to provide you with the best that modern day dentistry has to offer. All your treatment options & goals should be discussed prior to treatment & modified as necessary as treatment progresses.

Answered 5/7/2013

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Yes but be cautious: There are options for people with periodontal disease. The options available depend on severity of periodontal disease. No matter what cosmetic restoration you receive, you will need to make sure your periodontal health is stable before putting lots of effort and money into crowns/veneers or bridges.

Answered 7/23/2013

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Dr. Jerry Hu answered

Depends: If you have severe periodontal disease, you may consider bone grafting/implants/hybrid dentures, etc. For cosmetic result. If you have moderate bone loss, you must know that your homecare, keeping up with perio maintenance, your diet, your bruxism, your systemic health, etc. Will all be factors on the longevity of your dental work. You need to be very aware of the damaging effects of perio disea.

Answered 10/28/2015

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Dr. Marielaina Perrone answered

Specializes in Cosmetic Dentistry

Cosmetic dentistry: Should not be performed until the periodontal disease is brought under control. If the underlying tissues are not stable the cosmetic dentistry will not last as long as it should.

Answered 5/16/2014

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Dr. James Anderson answered

Specializes in Dentistry

Yes: There are always options--as long as your are aware of the risks, cosmetic dentistry can be performed. Your tooth is compromised with periodontal disease--so also is your cosmetic work.

Answered 9/16/2013

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Dr. George Ayoub answered

Specializes in Cosmetic Dentistry

Maybe: Once periodontal disease is stable and under control then yes check with your dentist about options.

Answered 5/3/2014

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Dr. Kevin Nail answered

Specializes in Dentistry

Cosmetic dentistry: If you have severe periodontal disease, there are not many options unless you want to get your teeth out and get a fixed hybrid denture and/or implants. Many times people with severe periodontal disease don't have enough bone for implants. If you have mild to moderate periodontal disease then you might have some options. Cosmetic/elective treatment might make your periodontal problems worse.

Answered 5/23/2015

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Dr. Hunter Smart answered

Specializes in Dentistry

There are options: There are definitely cosmetic dentistry options for nearly any person. However, your periodontal condition MUST be stable and in control for cosmetic procedures to be effective and last in your mouth.

Answered 10/12/2016

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